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Ann Thorac Surg 1996;62:1210-1212
© 1996 The Society of Thoracic Surgeons

How To Do It

Adjuvant Pneumomediastinum in Thoracoscopic Thymectomy for Myasthenia Gravis

Tommaso Claudio Mineo, MD, Eugenio Pompeo, MD, Vincenzo Ambrogi, MD, Alessandro F. Sabato, MD, Giorgio Bernardi, MD, Carlo U. Casciani, MD

Department of Thoracic Surgery, Myasthenia Gravis Unit, Tor Vergata University School of Medicine, Postgraduate Medical School, Rome, Italy

Accepted for publication June 17, 1996.

To facilitate initial visualization and subsequent mobilization of the thymus, adjuvant pneumomediastinum was preoperatively induced in 4 patients who underwent video-assisted thoracoscopic thymectomy. Neither mortality nor technique-related morbidity was observed. This experience shows video-assisted thoracoscopic thymectomy to be a safe and reliable procedure. In addition, we believe that adjuvant pneumomediastinum seems to facilitate the dissection maneuvers and could shorten operative time.




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